Life-threatening bleeding from dissecting Intramural Hematoma of Esophagus (IHE) treated by trans arterial

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Updated: Oct 29, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

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Mina F G Isaac1, Chi Long Ho1, Sum Leong1

  • 1Department of Radiology, Sengkang General Hospital, 110, Sengkang Eastway, Singapore 544886.

Radiology Case Reports
|July 14, 2021
PubMed

Dissecting intramural hematoma of esophagus (DIHE) is an uncommon entity, characterized by accumulation of blood within the esophageal wall and usually managed conservatively. Only in rare circumstances, DIHE is associated with massive life-threatening hemorrhage requiring emergency treatment. We present a case of DIHE associated with cardiovascular collapse and treated by transcatheter arterial embolization. Transcatheter arterial embolization is a rare treatment option for DIHE associated with hemodynamic instability and only a handful of cases have been reported in the literature.

Keywords:
DIHEDissectionEsophagealHematomaIntramural

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